I am a registered voter and resident of Allen County and would like to be placed on a list of potential pollworkers for Allen County Elections. (If you are not currently registered to vote, please click here to do so before applying for this position.) Please click here if you need more details about pollworker duties.

Name

First Name

Middle

Last Name

Date of Birth

Home Address

Street

City

Zip Code

Contact Information

Home Phone

Daytime Phone

Mobile Phone

Email Address

General Questions

For which position are you applying?

What is your political party affiliation?

Have you ever worked as a poll worker in Allen County before?

Are you an employee of Allen County or the City of Fort Wayne?

If yes to previous question, in which department do you work?

Are you willing to travel to a polling location outside your home district?

This form can be used by allMilitary and Overseas Citizens and their Family Members. It is a standard combined form that allows you to register to vote and apply for an absentee ballot. It allows you to choose to vote by email, fax or mail and is valid for both the 2018 Primary and General Elections. Submit completed form by email This email address is being protected from spambots. You need JavaScript enabled to view it. , fax (260) 449-7908 or mail to: Allen County Election Board, 1 E Main St Ste 172, Fort Wayne IN 46802.